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- Title
Laparoscopic Stripping of Ovarian Endometriosis in Relation to Ovarian Response and Reserve.
- Authors
Hamdy, Mamdoh Tawfik; Shawky Abd Allah, Hossam Eldin; Elmeeged, Ayman Abd; Fahmy Badr Zahran, Khaled Ali; Mohammed Abd Elsalam Fergany, Hatem Ahmed
- Abstract
Objective: To evaluate the changes in ovarian reserve and response after laparoscopic stripping for ovarian endometrioma. Patients and Method: Forty infertile women in reproductive age were submitted to laparoscopic cystectomy and stripping for symptomatic ovarian endometrioma(s) of at least 30mm in diameter. The evaluated parameters were follicle-stimulating hormone (FSH), Estradiol (E2), serum anti-Müllerian hormone (AMH), as well as ovulation and pregnancy rates. Results: Three months after laparoscopy, preoperative antral follicle count (AFC) significantly increased (p<0.001), with a significant reduction in ovarian volume (p<0.001). The levels of AMH at 3 months reduced significantly (p=0.02), with non-significant changes in serum FSH and E2.AMH was significantly increased in bilateral lesions. There was a significant reverse correlation between preoperative AMH and age after laparoscopy. A significant positive correlation between AMH and AFC was detected preoperatively and after 3 months. The ovulation rate was 52.5% at 3 months, with a pregnancy rate of 42.5%. Conclusion: Laparoscopic stripping of ovarian endometriomas may be associated with worsen ovarian reserve.
- Subjects
OVARIAN reserve; ENDOMETRIOSIS; ANTI-Mullerian hormone; FOLLICLE-stimulating hormone; OVULATION
- Publication
Indian Journal of Public Health Research & Development, 2020, Vol 11, Issue 5, p683
- ISSN
0976-0245
- Publication type
Article